Bacterial pituitary abscess: an unusual cause of panhypopituitarism.

Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists
Irma HernándezMoisés Mercado

Abstract

To describe a case of primary bacterial pituitary abscess manifesting as hypopituitarism. We present the case history, hormonal and bacteriologic data, and findings on imaging studies in a 34-year-old man. The patient had an 8-month history of intermittent fever, headache, nausea, vomiting, and weight loss. Because a computed tomographic scan of the head showed a cystic sellar mass with ring enhancement, he was referred to our medical center. On physical examination, he showed signs of meningeal irritation and had mild hypotension. Hormonal evaluation revealed evidence of hypocortisolism, hypothyroidism, and hypogonadism. Three weeks after treatment with antibiotics and hormonal replacement, he underwent transsphenoidal surgical exploration and evacuation of purulent material from the sella. On culture, this specimen grew coagulase-negative staphylococci and Propionibacterium granulosum. Nine months later, dynamic testing showed persistent central hypocortisolism, hypothyroidism, and hypogonadism. Bacterial pituitary abscess is rare but manifests similar to other pituitary masses with headaches, visual field defects, and hormonal disturbances. For the correct preoperative diagnosis of this condition, the physician must have a h...Continue Reading

References

May 1, 1977·Journal of Neurosurgery·J N Domingue, C B Wilson
Jul 1, 1975·Postgraduate Medical Journal·P D Mohr
Aug 1, 1990·Archives of Ophthalmology·J WalkerE M Opremcak
Dec 1, 1987·Journal of Clinical Microbiology·C BrangerP Goullet
Sep 1, 1986·Reviews of Infectious Diseases·S A BergerG David
May 1, 1973·Journal of Neurosurgery·J LindholmO Korsgaard
Nov 1, 1984·The Journal of Laryngology and Otology·P V Marks, C E Furneaux
Mar 1, 1983·Neurosurgery·P B NelsonA G Robinson
Dec 1, 1980·Journal of Neurosurgery·P SelosseR L Klaes
Feb 1, 1996·Surgical Neurology·M M HenegarC J Moran
Dec 1, 1996·Neurological Research·M KabutoT Kodera
Apr 1, 1997·British Journal of Neurosurgery·K C JainA K Mahapatra
Jul 1, 1997·Neuroradiology·L J WolanskyN Budhwani
Nov 17, 1998·Clinical Radiology·J GuiguiJ J Merland
Apr 20, 1999·Endocrinology and Metabolism Clinics of North America·P U Freda, K D Post

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Citations

Jun 28, 2007·Pituitary·Rinkoo Dalan, Melvin Khee Shing Leow
Sep 28, 2007·Neurosurgical Review·Pasqualino CiappettaNicola De Candia
Jan 31, 2021·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Brandon A SherrodWilliam T Couldwell
Jul 18, 2021·World Neurosurgery·Alexey Nikolaevich ShkaruboMikhail Yegorovich Sinelnikov

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